CANCER REGISTRIES IN NIGERIA

Transcription

1 FEDERAL MINISTRY OF HEALTH CANCER REGISTRIES IN NIGERIA A COMPENDIUM OF REPORTS OF ADMINISTRATIVE ASSESSMENT OF CANCER REGISTRIES IN NIGERIA CONDUCTED BY THE NATIONAL CANCER CONTROL PROGRAMME, DEPARTMENT OF HOSPITAL SERVICES FEDERAL MINISTRY OF HEALTH, NIGERIA FEBRUARY 27 EDITED BY TEMITOPE OLUKOMOGBON MICHEAL ODUTOLA RAMATU HASSAN CLEMENT ADEBAMOWO

2 FEDERAL MINISTRY OF HEALTH FEDERAL MINISTRY OF HEALTH CANCER REGISTRIES IN NIGERIA A COMPENDIUM OF REPORTS OF ADMINISTRATIVE ASSESSMENT OF CANCER REGISTRIES IN NIGERIA CONDUCTED BY THE NATIONAL CANCER CONTROL PROGRAMME DEPARTMENT OF HOSPITAL SERVICES FEDERAL MINISTRY OF HEALTH, NIGERIA EDITED BY TEMITOPE OLUKOMOGBON MICHEAL ODUTOLA RAMATU HASSAN CLEMENT ADEBAMOWO ii

3 CANCER REGISTRIES IN NIGERIA Published in Nigeria by National Cancer Control Programme Department of Hospital Services Federal Ministry of Health of Nigeria P.M.B.83, Garki Abuja Tel: Federal Ministry of Health of Nigeria ISBN number th May 27 iii

4 TABLE OF CONTENTS. Foreword v 2. Preface vii 3. Acknowledgement. vii 4. Dedication... viii 4. Editors x 5. Abuja Cancer Registry 6. Ahmadu Bello University Teaching Hospital Cancer Registry 8 7. Aminu Kano Teaching Hospital Cancer Registry 8. Benin Cancer Registry Calabar Cancer Registry 6. Ekiti Cancer Registry. 9. Enugu Cancer Registry FMC Abeokuta Cancer Registry FMC Keffi Cancer Registry FMC Lokoja Cancer Registry 3 5. FMC Yenagoa Cancer Registry FMC Owo Cancer Registry, Federal Teaching Hospital Gombe Cancer Registry Federal Teaching Hospital IDO-Ekiti Cancer Registry 4 9. Ibadan Cancer Registry Obafemi Awolowo University Teaching Hospital Ile-Ife Cancer Registry Jos University Teaching Hospital Cancer Registry Lagos State University Teaching Hospital Cancer Registry Lagos University Teaching Hospital Cancer Registry Maiduguri Cancer Registry Nnewi Cancer Registry National Obstetric Fistula Centre Abakaliki Cancer Registry Usman Dan Fodio University Teaching Hospital Cancer Registry University of Ilorin Cancer Registry University of Port-Harcourt Cancer Registry Uyo Cancer Registry Conclusion Appendix I Appendix II Appendix III.. 83 iv

5 FOREWORD v

6 vi

7 vii

8 Dedication This booklet is dedicated to the cancer patients in Nigeria, the clinicians that keep trying to provide care and cure using available resources, the staffing of cancer registries that work very hard to maintain registry data necessary for planning interventions and to those in policy making positions that continuously have to figure out what next to do to alleviate the suffering of the cancer patient and to control the invasive scourge that cancer has become in Nigeria. viii

9 Editors Ms Temitope Olukomogbon Department of Research Institute of Human Virology, Abuja Nigeria Dr. Michael Odutola Department of Research Institute of Human Virology, Abuja Nigeria Dr. Rahmatu Hassan National Coordinator, National Cancer Control Programme Department of Hospital Services Federal Ministry of Health Abuja Nigeria Professor Adebamowo Department of Epidemiology and Public Health; Institute of Human Virology; Marlene and Stewart Greenbaum Comprehensive Cancer Centre, University of Maryland School of Medicine, Baltimore, MD, USA Co- Editors Dr. Paul Kwetishe Specialty Hospitals Branch, Teaching Hospitals Division Department of Hospital Services Federal Ministry of Health, Abuja, Nigeria Mr. Isaac Brantley National Cancer Control Programme Department of Hospital Services Federal Ministry of Health, Abuja Mr. Bernard Ojonimi National Cancer Control Programme Federal Ministry of Health, Abuja ix

10 ABUJA CANCER REGISTRY The Abuja Cancer Registry (ABCR) is made up of the registries at Oncology Department of the National Hospital, Abuja (NHA) and the University of Abuja Teaching Hospital (UATH) Gwagwalada, Abuja. It became a Population Based Cancer Registry (PBCR) in 29. The ABCR has two directors. These are Dr. Festus Igbinoba at the NHA and Dr. Theresa Otu at the UATH Gwagwalada. ABCR covers 6 Local Government Councils (LGC) in the Federal Capital Territory with a population of,46,239 people. The registry at the NHA covers Abuja Municipal Area Council, Kuje and Bwari LGC while the one at University of Abuja Teaching Hospital Abuja covers Abaji, Gwagwalada and Kwali LGC. NATIONAL HOSPITAL ABUJA (NHA) CANCER REGISTRY The address of this registry is the Oncology Department National Hospital, Abuja, Nigeria. The registry began in 25 as a Hospital Based Cancer Registry (HBCR). Registry Staff The NHA Cancer Registry has two staff Ms. Chinyere Chukwubuike and Gloria HarrisonOsagie, who serve interchangeably as cancer registrars, data entry clerks and case abstractors. National Youth Service Corp members (NYSC) occasionally serve in the registry and work as case abstractors.

11 Office Facilities The NHA Cancer Registry has a printer, one computer, one filling cabinet, two office desks and two slightly damaged office chairs. Other assets include a non-functional refrigerator and an air conditioner. The Registry does not have a scanner, photocopier, internet facilities and external storage device. Communication Facilities The NHA Cancer Registry has a dedicated official electronic address,abujacanreg@gmail.com, but it has no dedicated phone number. mail ( ) Technical Facilities The Registry has a copy of the 3rd edition of the International Classification of Disease for Oncology (ICD-O-3) coding book and the CanReg4 software. The availability of these materials allows for the smooth running of activities in the registry. Staff Training The staff of the NHA Cancer Registry have benefitted from several Nigeria National System of Cancer Registries (NSCR) trainings which include: Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. They have also attended international trainings on registration methods. Relationship with the Hospital Records Department The relationship between the Hospital Records Department and the NHA Abuja Cancer Registry is cordial. Case Abstraction outside NHA Data abstraction outside NHA Abuja is carried out at every 2 months interval. Funding The NHA Cancer Registry receives funding from the NHA management and grants from organizations including - the International Epidemiologic Databases to Evaluate AIDs (PI: Prof Adebamowo from 24 25) and the African Cancer Registry Network collaborative research grants. 2

12 Challenges The challenges of NHA Cancer Registry are: Inadequate funding. Inadequate staffing. Lack of regular transportation to data sources outside the NHA. Small office space. Lack of cooperation by external data sources (hospitals, laboratories, partners, and NGOs) in provision of access to cancer patients and laboratory data. 6. Lack of photocopy machine, scanner, and external storage devices. Recommendations The following actions are recommended for NHA Cancer Registry.. There is need to increase the monthly funding and provide logistics that will enhance the functions of the cancer registry. 2. The hospital management should post more staff to the registry and provide them with a more spacious office. 3. The registry should be provided with transport facilities. 4. The registry staff will benefit from more capacity building and training. 5. The registry staff should conduct advocacy and sensitization visits to hospitals, laboratories and NGOs in its catchment area. 6. The hospital management should provide other office equipment like photocopier, scanner, and external storage devices for the registry. 3

13 ABOVE PICTURE SHOWING EQUIPMENT IN USE AT NATIONAL HOSPITAL ABUJA CANCER REGISTRY ABOVE PICTURE SHOWING FMOH VISITING TEAM AND NHA REGISTRY STAFF FROM L R: DR. R. HASSAN[FMOH], MR. R.A. ADIO, DR. F. IGBINOBA, MR. BERNARD[FMOH], MR. BRANTLY [FMOH], MRS.HARRISON-OSAGIE GLORIA, MRS. OGBAUDU [ FMOH], AND MRS. CHINYERE CHUKWUBUIKE. 4

14 UNIVERSITY OF ABUJA TEACHI NG HOSPITAL (UATH), GWAGWALADA CANCER REGISTRY The UATH Cancer Registry is the second arm of the ABCR. The address of the registry is the Medical Record Department, University of Abuja Teaching Hospital, Gwagwalada. The UATH Cancer Registry was established as a HBCR 997 by Dr. A.U. Muktar a consultant pathologist with the then Gwagwalada Specialist Hospital and Dr. M. Khalid an Egyptian Pathologist with the University of Maiduguri Teaching Hospital at that time. Staffing Mr. Kumai Mathew Henry is the sole staff of the registry. He performs the duties of case abstraction, data entry clerk, secretariat staff and registrar. Office Facilities The UATH Cancer Registry has three office desks, seven office chairs, one desktop computer, an internet modem, and an office printer. The registry does not have a filling cabinet, an external storage device and photocopier. Communication Facilities The UATH Cancer Registry does not have a functional address and phone dedicated to the registry. Technical Facilities The registry has a hard copy of the 3rdedition of the ICD-O-3 coding book and the CanReg4 software. These technical items ensure smooth running of the registry activities. Staff Training Mr. Kumai Mathew have benefitted from several trainings organized by NSCR. These trainings include Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. He has also attended international trainings on registration methods. Relationship with Hospital Records Department The relationship between the Hospital Records Department and the UATH Cancer Registry is cordial. Funding The UATH Cancer Registry is funded by the UATH management. F unding is insufficient resulting in the use of registry staff personal funds to ensure the smooth running of the 5

15 registry. The UATH Cancer Registry benefitted from the International Epidemiologic Databases to Evaluate AIDs (PI: Prof Adebamowo from 24 25). Regularity of case abstraction outside UATH, Gwagwalada Abstraction of cases outside UATH is done twice monthly. Challenges The challenges of the UATH Cancer Registry are: Inadequate funding. Inadequate staffing. Lack of regular transportation to data sources outside the UATH. Lack of cooperation by external data sources (hospitals, laboratories) in providing access to cancer patients and laboratory data. 5. Unstable electricity supply. Recommendations The following actions are recommended for UATH Cancer Registry. The registry should prepare yearly budgets which should be funded by the hospital management. 2. The registry should be provided with transport facilities to ease transportation to data sources within the registry coverage area. 3. The hospital management should post more staff to work in the registry. 4. The registry staff should conduct advocacy and sensitization visit to hospitals and laboratories in its catchment area. The hospital management should provide a phone, filling cabinet, photocopier, and external data storage device for the registry. 6

16 ABOVE PICTURE SHOWING FRONTAGE OF UATH CANCER REGISTRY AND VISITING FMOH TEAM WITH REGISTRY PERSONNEL AS FOLLOWS: FROM [L] [R]: MR JEROME SEYIL, DR. THERESA IZE OTU, MR. HENRY KUMAI, MRS. OGBAUDU[FMOH], DR PAUL KWETISHE [FMOH], AND DR. R. HASSAN [ NC NCCP FMOH] PICTURE BELOW SHOWS UATH CANCER REGISTRY OFFICE SPACE AND VISITING FMOH STAFF WITH THE UATH REGISTRY STAFF 7

17 AHMADU-BELLO UNIVERSITY TEACHING HOSPITAL (ABUTH) CANCER REGISTRY The ABUTH is a HBCR established in 97. The registry is domiciled within the Pathology Department, ABUTH Zaria. Staff The director of the registry is Prof. M.O Samaila of the Department of Pathology, ABUTH Zaria. Mr. Mohammed Farouk is the lone staff at the registry. He serves as the cancer registrar, case abstractor and data entry clerk. Office Facilities The registry has two desktop computers, two filing cabinets, one Internet modem, one office chair, two faulty office desks. The registry does not have a scanner, printer, photocopier, or an external electronic storage device. Communication Facilities The registry does not have a dedicated address or phone. Technical Facilities The registry has two hard copies of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software. The availability of these technical items allows for smooth running of the registry activities. 8

18 Staff Training The registry staff have benefitted from NSCR training on Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between ABUTH and the cancer registry is cordial. Funding The ABUTH Cancer Registry is funded by the ABUTH management, but funding is insufficient and irregular. Challenges The challenges of the registry are: Inadequate staffing. Inadequate funding. Small office space. Lack of office phone, scanner, printer, photocopier, internet facilities and external electronic storage device. Recommendations The following actions are recommended for the registry.. The hospital management should provide regular funding and a spacious office space for the registry. 2. The hospital management should post an additional staff to the registry. 3. The registry should be provided an office phone, scanner, printer, photocopier, internet facilities and external electronic storage device. 9

19 PHOTOGRAPH SHOWING FMOH VISITING TEAM WITH ABUTH CANCER REGISTRY STAFF IN FRONT OF THE REGISTRY OFFICE OF THE HOSPITAL. FROM [L] [R]: DR. E. OFODIRE [FMOH], MALLAM BASHIR MOHAMMED[FMOH], MR FAROUK MOHAMMED AND PROFESSOR M.O.A. SAMAILA

20 AMINU KANO TEACHING HOSPITAL (AKTH) CANCER REGISTRY The AKTH Cancer Registry is a HBCR domiciled in the Pathology department of the Aminu Kano Teaching Hospital, Kano. Staffing The AKTH Cancer Registry is headed by Dr. Akinfewa T. Atanda of the Department of Pathology, AKUTH, Kano. The lone registry staff is Mr. Mansur Idris. He serves as the cancer registrar, data entry clerk, case abstraction and secretariat staff. Office Facilities The AKTH Cancer Registry has one desktop computer, one filing cabinet, one internet modem, one office chair, one office desk and an external storage device. The registry does not have a scanner, printer, and photocopying machine. Communication Facilities The AKTH Cancer Registry does not have a dedicated address and phone number. Technical Facilities The registry has one hard copy of 3rd edition of the ICD-O-3 coding book and CanReg4 software installed on the registry s computer. Staff Training The staff of AKTH Cancer Registry have benefitted from NSCR organized trainings on cancer registration including the Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26.

21 Relationship with Hospital Records Department The relationship between the Hospital Records Department of AKTH and the AKTH Cancer Registry is cordial. Funding The AKTH Cancer Registry receives funding from AKTH management. Challenges of AKTH Cancer Registry The challenges of AKTH Cancer Registry are: Inadequate staffing. Inadequate funding. Lack of designated office space. Lack of printer, scanner, and photocopying machine. Recommendations The following actions are recommended to facilitate activities at the AKTH Cancer Registry.. The hospital management should provide a dedicated office space for the registry. 2. The hospital management should post an additional staff to the registry. 3. The AKTH Cancer Registry should prepare yearly budget, which should be funded by the hospital management. 4. The hospital management should provide other office equipment like printer and photocopying machine. 2

22 PHOTOGRAPH SHOWING VISITING FMOH TEAMAND AKTH CANCER REGISTRY STAFF FROM L-R: DR. OFODIRE [MO/NCCP], MALLAM BASHIR MOHAMMED[FMOH], MR MANSUR IDRIS [AKTH], AND DR AKINFENWA ATANDA [AKTH] 3

23 UNIVERSITY OF BENIN TEACHING HOSPITAL (UBTH) CANCER REGISTRY The UBTH Cancer Registry is domiciled in the Pathology Department of the University of Benin Teaching Hospital (UBTH), Benin. The UBTH Cancer Registry was established in 28 as an HBCR and in 25, the registry started collecting population based data. The registry covers Benin City metropolitan area, Egor, Oredo, and Ikpoba Okha Local Government Area (LGA). Staffing The director of UBTH Cancer Registry is Dr. Darlington Obaseki of the Department of Pathology, UBTH Benin. Dr. Forae Gerald is the assistant director of the registry. Mrs. Osamudiamen Aigbedion is the registrar, Mrs. Ogbe Grace is the case abstractor, Mr. Alexander Emuekeme is the data entry and Mrs. Uyi Osaigbovo serves as the registry s secretary. Office Facilities The UBTH Cancer Registry has four office desks, six office chairs, two desktop computers, one laptop, one printer, one filing cabinet, an internet cable, and an external storage device. The registry does not have a scanner and a photocopying machine. Communication Facilities The UBTH Cancer Registry does not have an address and phone number designated to the registry. Technical Facilities The registry has one hard copy of the 3rdedition of the ICD-O-3 coding book and the CanReg4 software installed in the computers of the registry. The availability of these materials allows for the smooth running of the activities of the registry. Staff Training The UBTH Cancer Registry staff have benefitted from NSCR organized training on cancer registration. These include the Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; Cancer Registration Methods Refresher Course, June 25; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of UBTH and the UBTH Cancer Registry is cordial. 4

24 Funding The UBTH Cancer Registry receives funding from the UBTH management. Funding is based on request by the registry and there are no monthly or yearly budgetary provisions set aside for the running of the registry. Challenges The challenges of the UBTH Cancer Registry are:. Inadequate funding: The release of funds by the hospital management is marred by bureaucratic hurdles which often renders the need obsolete. 2. Lack of transportation to data sources outside the UBTH. Recommendations The following actions are recommended to improve cancer registration in UBTH Cancer Registry.. The UBTH Cancer Registry should prepare yearly budget, which should be funded by the hospital management. 2. The hospital management should provide transport facilities for the registry to ease transportation to data sources outside UBTH. 3. The hospital management should provide other office equipment like scanner and photocopying machine. 5

25 CALABAR CANCER REGISTRY The Calabar Cancer Registry (CCR) is a PBCR. The registry is domiciled in Department of Pathology, University of Calabar Teaching Hospital (UCTH), Calabar. The registry was established in 24 and became a PBCR in 29. CCR covers Calabar municipality, Calabarsouth and Akpabio Local Government Areas of Cross Rivers State with an estimated population of 647,458 people. Staffing The director of CCR is Prof. Ima-Obong A. Ekanem of the Department of Pathology, UCTH, Calabar. Mr. Joel Bassey and Mrs. Ada Oshim serve interchangeably as the cancer registrars and entry clerks. Miss Favour Offor, Mr. EjenAnah, Mr. Ekanem Bassey and Mrs. Success Brown serves as case abstractors. Office Facilities The CCR has four office desks, two office chairs, two desktop computers, one faulty filing cabinet and two gigabyte flash drive. The registry has no scanner, internet facilities and photocopying machine. 6

26 Communication Facilities The CCR has a functional official address, a phone, and phone number. Technical Facilities The registry has a hard copy of the th edition of the ICD coding book. It has CanReg5 software installed in the two desktop computers of the registry. Staff Training The registry staff have benefitted from NSCR trainings and international trainings on cancer registration. The registry staff attended Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of UCTH and the CCR is cordial. Funding The CCR activities are run primarily by personal funds of the registry director and staff. The UCTH management does not have a budget line allocated for the cancer registry activities. Challenges The challenges of the CCR are: Inadequate funding. Lack of transportation to data sources outside UCTH. Lack of internet facilities, scanner and photocopier. Unstable electricity supply. Recommendations The following actions are recommended for CCR.. There is need for the UCTH management to provide monthly funding and coordination that will enhance the functions of the cancer registry. 2. The registry should be provided with transport facilities to ease its access to data sources outside UCTH. 3. The registry staff will benefit from more capacity building and training. 4. The hospital management should provide other office equipment like internet facilities, scanner and photocopier for the registry. 7

27 FROM [L-R] Mrs. Success Brown, Mrs. Favour Ofor, Prof. Ima-Obong Ekanem (Director CCR), Mrs. Ekanem Bassey, Mrs. Lucy Alemo [FMOH], Mrs. Ejen M. Anah, & Mr. Joel Bassey OFFICE EQUIPMENT IN USE AT THE CALABAR CANCER REGISTRY UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR 8

28 EKITI CANCER REGISTRY (EKCR) The Ekiti Cancer Registry (EKCR) is a PBCR located in t he Diagnostic and Wellness Centre of Ekiti State University Teaching Hospital (EKSUTH), Ado Ekiti. The EKCR was established in 24 and the registry covers Ado, Ekere, Irepodun, Ifedolun, Ido/Osi, and Ekiti South-West LGA with a population of 98,866 people according to the National census of 26. Staffing The director of EKCR is Dr. Abidemi. Omonisi. Mr. Inubile Adekoya is the cancer registrar Miss Oguyemi Toyin is the data entry clerk and Miss Oladiran Mercy is the secretariat staff. Mr. Agunbiade. T, Olaniran.M, Yekini Kudus and Olayiwola. D serve as case abstractors and Mrs. E. Adetoye serves as the counselling/follow-up nurse. Office Facilities The EKCR has two office desks, three office chairs, one laptop computer and one internet modem. The registry does not have a scanner, photocopying machine, filling cabinet and external storage device. Communication Facilities The EKCR has a functional address and dedicated phone to the registry. 9

29 Technical Facilities The registry has the 3rd edition of the ICD-O-3coding book and the CanReg4 software installed on the registry s computer. Staff Training The EKCR staff have benefitted from NSCR training. The registry staff attended the training on Basic Principles of Cancer Registration, July 24; Cancer Registration Initiation Workshop and Sensitization, May 25; Cancer Registration Methods, November 25; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of EKSUTH and the EKCR is cordial. Funding The EKCR is funded by the EKSUTH management. The hospital management provided the registry a vehicle (bus) for transportation to data sources outside EKSUTH. Case Abstraction outside the Hospital Abstraction of cases in other external data sources outside EKSUTH is done twice a month. Challenges The challenges of EKCR are:. Inadequate funding 2. Inadequate filling cabinets. Recommendations The following actions are recommended EKCR. There is need for the hospital management to increase monthly funding to the registry. 2. The hospital management should provide filling cabinets for the registry. 3. The registry will benefit from more capacity building and training. 2

30 ABOVE PHOTOGRAPH SHOWING SOME EKITI CANCER REGISTRY STAF WITH VISITING FMOH TEAM 2

31 ENUGU CANCER REGISTRY (ECR) The Enugu Cancer Registry (ECR) is a PBCR located within the Oncology Department of the University of Nigeria Teaching Hospital (UNTH), Enugu. The ECR began in 988 as a HBCR and it became a PBCR in 22. The registry covers Enugu-South, Enugu-East, Enugu-North, NkanuEast Nkanu-West and Udi LGA with a population of,3,53 persons according to the 26 National census. Staffing The director of ECR is Prof. E Ezeome of the Department of Oncology, UNTH, Enugu. Mrs. Okarafor Ann and Mrs. Isreal Udodirim serve interchangeably as cancer registrars. Mrs. Igwilo Anastesia and Miss. Kamar Happiness serve as data entry clerks, and Mrs Dike Rose is the registry s secretariat staff. Office Facilities The ECR has a laptop computer, two office chairs, two office desks, one printer and three filing cabinets. The registry does not have an office scanner, photocopying machine, and internet facilities. 22

32 Communication Facilities The ECR does not have a dedicated address and phone. Technical Facilities The registry has a hard copy of the 3rd edition of ICD-O-3 coding book and CanReg5 software installed on the registry s computer. Staff Training The staff of ECR have benefitted from international training and several local trainings by NSCR. The staff attended the Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of UNTH and ECR is cordial. Funding The ECR receives funding from the UNTH management. However, the funds are often irregular, resulting in the use of personal funds of the registry director and staff. Challenges The challenges of the ECR are:. Inadequate funding. 2. The registry should be provided with transport facilities to ease transportation to data sources outside UNTH. 3. Poor electricity supply to the Oncology unit where the registry is domiciled. 4. Lack of desktop computer, photocopier, scanner, and internet facilities. Recommendations The following actions are recommended for ECR.. The hospital management should increase funding and provide coordination that will enhance the functions of the registry. 2. The registry should be provided with transport facilities. 3. The hospital management should provide other office equipment such as desktop computer, photocopier, phone, and internet facilities. 4. Electricity supply to the registry should be improved. 23

33 PHOTOGRAPH SHOWING EQUIPMENT IN USE AT ENUGU CANCER REGISTRY AND REGISTRY STAF WITH VISITING FMOH TEAM FROM L -R: -NURSE ISRAEL UDODIRIM MRS. [CANCER REGISTRAR 2], MR. BERNARD OJONIMI [SO/NCCP], NURSE OKOROAFOR, ANN (CANCER REGISTRAR, I/C), MR. FIDELIS [FMOH], MRS, HAPPINESS KAMAMU [CLERICAL STAFF], NURSE IGW ILO ANASTESIA MRS. [DATA ABSTRACTION] 24

34 FEDERAL MEDICAL CENTER (FMC) ABEOKUTA CANCER REGISTRY The Federal Medical Centre (FMC) Abeokuta Cancer Registry is a HBCR domiciled at Histopathology Department of the Federal Medical Centre Abeokuta. The registry was established in 29. Staffing Dr. Ayodeji Olutunde is the director of FMC Abeokuta Cancer Registry Mr. Adedeji Adeyanju is the lone staff at the registry. He serves as the cancer registrar, data entry clerk and case abstractor. Office Facilities The FMC Abeokuta Cancer Registry has one office desk, three office chairs, one desktop computer and a printer. The registry does not have internet facilities, external storage device and a filing cabinet. Communication Facilities FMC Abeokuta Cancer Registry does not have an address and phone dedicated to the registry. Technical Facilities The registry has an electronic copy of the3rd edition of ICD-O-3 coding book. The CanReg5 software is installed on the registry s computer, but the software seems to be malfunctioning. Staff Training The registry staff have benefitted from several trainings by NSCR including the Cancer Registration, Epidemiology and Use of CanReg4 Training, April, and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The registry does not have sufficient support from the Medical Records Department of the hospital. Funding FMC Abeokuta Cancer Registry is funded by FMC Abeokuta, but funding is irregular. There is currently no monthly or yearly budgetary allocation for the registry activities. 25

35 Challenges The challenges of the FMC Abeokuta Cancer Registry are: Inadequate staffing. Inadequate funding. Small office space. Malfunctioning CanReg5 software Lack of office equipment such as internet facilities, external storage device and a filing cabinet. Recommendations The following actions are recommended for FMC Abeokuta Cancer Registry.. The hospital management should post an additional staff to work in the registry and provide a spacious office space. 2. The hospital management should provide monthly funding for the registry. 3. The registry should be provided office equipment like internet facilities, external storage device and a filing cabinet 4. The registry should contact NSCR to help resolve the challenges encountered with the use of the CanReg5 Software. PHOTOGRAPGH SHOWING EQUIPMENT IN USE AT THE ABEOKUTA CANCER REGISTRY 26

36 PHOTOGRAPH SHOWING ABEOKUTA CANCER REGISTRY AND VISITING FMOH TEAM FROM L R : --DR AYODEJI OLUTUNDE (CONSULTANT PATHOLOGIST), MR. BRANTLEY [NCCP/FMOH], MS. ALICE JIGYANG [CNO/NCCP], AND MR ADEDE ADEYANJU (REGISTRAR) 27

37 FEDERAL MEDICAL CENTRE (FMC) KEFFI CANCER REGISTRY The Federal Medical Centre (FMC) Keffi Cancer Registry is a HBCR located within the Department of Medical Records, FMC Keffi. The registry was established in 29. Registry Staff The director of the registry is Dr. Garba Yakubu who recently took over from Dr. Achara.A Peter. Mrs. Justina Awoje is the cancer registrar and Mr. Ebuka serves as case abstractor at the registry. Office Facilities FMC Keffi Cancer Registry has one office desks, two office chairs, one desktop computer, one office printer and one internet modem. The registry does not have a filing cabinet, photocopying machine and an external storage device. Communication Facilities FMC Keffi Cancer Registry has no address or phone dedicated to the registry. Technical Facilities The registry has one hard copy of the third 3rd edition of the (ICD-O-3) coding book and the CanReg4 software installed in the desktop computer of the registry. 28

38 Staff Training The staff of FMC Keffi Cancer Registry benefitted from NSCR trainings on Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of FMC Keffi and the registry is cordial. Funding The registry is funded by the FMC Keffi management. Challenges The challenges of the registry are:. Inadequate funding. 2. Small office space. 3. Lack of filing cabinet, photocopying machine and external storage device. Recommendations The following actions are recommended for the registry.. The hospital management should provide monthly funding for the registry. 2. A spacious office should be provided for the registry. 3. The hospital management should provide office equipment like of filing cabinet, photocopier and external storage device for the registry. 29

39 PHOTOGRAPH SHOWING FMCKEFFI CANCER REGISTRY STAF WITH VISITING FMOH TEAM MEMBERS FROM [L] - [R]: MRS JUSTINA AWOJE [REGISTRAR], DR. OKPIKPI [FMOH], DR. ACHARA AMAECHI PETER [DIRECTOR], MRS. GRACE ANIBASA [MEMBER], MRS IMA PETER [FMOH], MLS EWUGA HARUNA, [MEMBER] 3

40 FEDERAL MEDICAL CENTRE (FMC) LOKOJA CANCER REGISTRY The Federal Medical Centre (FMC) Lokoja Cancer Registry is a HBCR situated within the Department of Pathology, FMC Lokoja. The registry was established in 29. Staffing The director of the registry is Dr. Daniel Awelumobor of the Department of Pathology, FMC Lokoja. Mr. Are Joseph serves as the cancer registrar and case abstractor. NYSC members occasionally serve in the registry as case abstractor. Office Facilities The registry has two office chairs, one office desk, and one external storage device. The registry has no scanner, printer, photocopier, filling cabinet and internet facilities. Communication Facilities The registry does not have an address or phone designated to the registry. Technical Facilities FMC Lokoja Cancer Registry has a one hard copy of the 3 rd edition of the ICD-O-3 coding book and the CanReg4 software installed in the registry s desktop computer. 3

41 Staff Training The staff of the registry have benefitted from training on cancer registration including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of FMC Lokoja and the registry is cordial. Funding The FMC Lokoja Cancer Registry is funded by the management of the FMC Lokoja, however there is no budgetary allocation set aside by the hospital management for the registry. Challenges The registry is faced with the following challenges: Inadequate staffing. Inadequate funding. Small office space. Lack of printer, photocopying machine, filling cabinet, phone and internet facilities. Recommendations The following actions are recommended for the registry.. The hospital management should post an additional staff to work in the registry and provide a spacious office space. 2. The registry should prepare yearly budget which should be funded by the hospital management. 3. The hospital management should provide office equipment such as printer, photocopying machine, filling cabinet, phone and internet facilities. 32

42 PHOTOGRAPH SHOWING EQUIPMENT IN USE AT FMC LOKOJA CANCER REGISTRY 33

43 FEDERAL MEDICAL CENTRE (FMC), YENAGOA CANCER REGISTRY The FMC Yenagoa Cancer Registry is a HBCR established in 22. The registry is domiciled within the Histopathology Department of FMC Yenagoa. Registry Staff Dr. Y.E. Oku is the cancer registry director. The cancer registrar is Emamezi Orieno. William EbiIdidade is the data entry clerk and Ngozi Oju serves as the case abstractor. Innocent Love Dooshima and Ekaete Joseph serve interchangeably as the secretariat staff. Office Facilities The FMC Yenagoa Cancer Registry has one printer, one computer, one office desk and four office chairs. It does not have a filling cabinet, external storage devices, photocopier and internet facilities. Communication Facilities The registry has a phone number and a dedicated address (yilaioku@yahoo.com). Technical Facilities The Registry has a hard copy of the th edition of the ICD-O- coding book as well as the CanReg4 software for data management. Staff Training The staff of the FMC Yenagoa Cancer Registry have benefitted from interval trainings by NSCR including Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with the Hospital Record Department The relationship between the Hospital Records Department and the FMC Yenagoa Cancer Registry is adjudged cordial. Funding The FMC Yenagoa Cancer Registry receives fund from the FMC Yenagoa management, but the funds are insufficient. Challenges The challenges of the registry are:. Lack of adequate and regular funding. 2. Lack of office equipment such as filling cabinet, external storage devices, photocopier and internet facilities. 3. Inadequate training of registry staff. 34

44 Recommendations The following actions are recommended for FMC Yenagoa Cancer Registry.. There is need to increase funding to the registry and ensure provision of other logistics that will enhance the cancer registry activities. 2. The registry staff will benefit from more capacity building and training. 3. The hospital management should provide other office equipment such as filling cabinet, photocopier, external storage devices and internet facilities for the registry. 35

45 FEDERAL MEDICAL CENTRE (FMC), OWO CANCER REGISTRY The FMC Owo Cancer Registry is a HBCR established in 23. The registry is situated within the Histopathology Department of FMC Owo. Registry Staff The Director of the registry is Dr. Ariyibi O.D. Mrs. Chukwu Opeyemi serves as the cancer registrar, case abstractor and data entry clerk. Office Facilities The FMC Owo Cancer Registry has one, one printer, one filing cabinet, an office desk, two office chairs, an internet modem and an external storage drive. The registry does not have a scanner and photocopier. Communication Facilities The registry has a dedicated official address. It does not have a dedicated phone number. Technical Facilities The registry does not have the ICD-O coding book and CanReg software. The registry records cancer cases in a register. Staff Training The staff of the registry have not benefitted from any cancer registration training. Relationship with Hospital Records Department The relationship between the Hospital Records Department and the registry is cordial. Funding The registry receives monthly funding from the Hospital Management, but the funds are insufficient. Challenges The challenges of FMC Owo Cancer Registry are; Inadequate funding. Inadequate staffing and training. Small office space. Unavailability of sign post or directional guide to the registry. Recommendations 36

46 The following actions are recommended for FMC Owo Cancer Registry a) There is need to increase the monthly imprest to the cancer registry b) The hospital management should post more staff to the registry and provide them with more spacious office. c) The registry staff will benefit from capacity building and training. d) The ICD-O coding book and CanReg software should be provided for the registry. ABOVE PHOTOGRAPH SHOWING EQUIPMENT IN USE AT FMC OWO CANCER REGISTRY AND BELOW ARE VISITING FMOH TEAM WITH FMC OWO REGISTRY STAFF 37

47 FEDERAL TEACHING HOSPITAL (FTH) GOMBE CANCER REGISTRY The FTH Gombe Cancer Registry is a HBCR established in 29. The registry is domiciled within the Histopathology Department of FTH Gombe. Registry Staff The director of the registry is Dr. Yusuf Mohammed Abdullahi of the Department of Pathology, FTH Gombe. Mr. Murtala Aliyu and Mr. Jamilo Aliyu serve interchangeably as the cancer registrar, data entry clerk and case abstractor. Office Facilities The registry has two office desks, four office chairs, one desktop computer, one printer and one filing cabinet. The registry does not have a scanner, photocopier, internet modem and external storage device. 38

48 Communication Facilities FTH Gombe Cancer Registry does not have an address or phone designated for the registry. Technical Facilities The registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software installed in the registry s computer. Staff Training The staff of FTH Gombe Cancer Registry have benefitted from interval trainings from NSCR including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department and the FTH Gombe Cancer Registry is cordial. Funding The registry is funded by the management of the FTH Gombe. Challenges The challenges of the registry are:. Inadequate funding. 2. Lack of office space. The space the registry currently occupies is the conference room of the Department of Histopathology. 3. Lack of photocopier, internet facilities, phone and external storage device. Recommendations The following actions are recommended for the registry.. There is need to increase monthly funding to the registry. 2. A dedicated office space should be provided to with adequate office facilities needed to enhance the functions of the registry. 3. The hospital management should provide photocopier, internet facilities, phone and external storage device for the registry. 39

49 PHOTOGRAPH SHOWING VISITING FMOH TEAM MEMBER AND FTH GOMBE CANCER REGISTRY FROM[L] [R] : SNO MURTALA ALIYU --,MR. ISAAC BRANTLEY [ FMOH], DR. YUSUF MOHAMMED ABDULLAHI-, MR. JAMILU ALIYU (ACHRO) 4

50 FEDERAL TEACHING HOSPITAL (FTH) IDO EKITI CANCER REGISTRY The FTH Ido Ekiti Cancer Registry is a HBCR established in 29. The registry is situated within the Histopathology Department of FTH Ido Ekiti. Registry Staff The director of FTH Ido Cancer Registry is Dr. Erinomo Olagoke of the Department of Pathology FTH Ido Ekiti. Mr. Ojo Adebayo is the cancer registrar, Mrs. Ogunlayi is the data entry clerk and Mrs. Fredrick Funmilayo is the case abstractor. Mr. Jimoh Ola and Mr. Kehinde S.O serve as the secretariat staff. Office Facilities The registry has three office desks, seven office chairs, two computers and one printer. The registry does not have a scanner, photocopying machine, internet facilities and external storage device. Communication Facilities FTH Ido Cancer Registry does not have a dedicated official address and phone. Technical Facilities The registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software installed in the registry s computer. Staff Training The FTH Ido Cancer Registry staff have benefitted from NSCR trainings including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with the Hospital Record Department The relationship between the Hospital Records Department and the cancer registry of is cordial. Funding FTHIdo cancer registry is funded by the management FTH Ido, but funding is inadequate and irregular. 4

51 Challenges The challenges of the registry are:. Inadequate funding 2. Lack of office equipment such as scanner, photocopier, internet facilities, phone and external storage device. Recommendations The following actions are recommended for FTH Ido Cancer Registry.. The hospital management should provide regular monthly funding and other logistics that will enhance the functions of the registry. 2. The hospital management should provide a scanner, photocopier, internet facilities, phone and external storage device for the registry. 42

52 IBADAN CANCER REGISTRY (IBCR) The Ibadan Cancer Registry (IBCR) is a PBCR domiciled within the Department of Pathology, College of Medicine, University College Hospital (UCH) Ibadan. The registry was established in 96. IBCR covers local governments including Akinleye, Ido, Lagelu, Egbeda, Ona-Ara, Oluyole, Ibadan North, Ibadan North-East, Ibadan North-West, Ibadan South-East and Ibadan SouthWest Local Government Areas of Oyo State with a population of 2,549,265 people according to the 26 National census. Registry Staff The director of IBCR is Professor J. O Ogunbiyi of the Department of Pathology, College of Medicine, UCH Ibadan. He is assisted by Dr. G.O Ogun. Ms. A.O Fabowale and O.M Bodunwa serve interchangeably as the cancer registrars and case abstractors. Mr. Babatunde Adeyinka is the data entry clerk, and Mr. Akin Ladipo is the data manager. Office Facilities The registry has five office desks, four office chairs, two desktop computers, two printers, one filing cabinet, one air conditioner, an internet cable and one external storage device. It does not have an office scanner and a photocopier. Communication Facilities The IBCR has a functional address and phone assigned to the registry. Technical Facilities The registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software. These technical items allow for smooth running of the registry. Staff Training The members of IBCR staff are well trained in cancer registration. They have attended several international and local trainings on cancer registration including the Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26 Relationship with Hospital Records Department The relationship between the Hospital Records Department of UCH Ibadan and the IBCR is cordial. 43

53 Funding IBCR receives funding from UCH Ibadan management and from research grants. The registry does not have monthly or yearly budgetary allocation from the hospital management. Challenges The challenges of the IBCR are:. Inadequate funding. 2. Lack of regular transportation and logistics to external data sources outside UCH. Recommendations The following actions are recommended for IBCR.. The hospital management should increase funding to the registry and provide logistics that will enhance the functions of the cancer registry. 2. The registry should be provided transport facilities. 3. The hospital management should provide office equipment like scanner and photocopier. PHOTOGRAPH SHOWING EQUIPMENT IN USE AT IBADAN CANCER REGISTRY 44

54 ABOVE PHOTOGRAPH SHOWING IBADAN CANCER REGISTRY STAFF WITH FMOH VISITING TEAM FROM [L] [R] : DR. G. O. OGUN, MR.A.LADIPO, MS ALICE GYANG [NCCP / FMOH], ISAAC BRANTLY[FMOH], MRS. M. O BODUNWA., MR B. ADEYINKA AND MRS C. O.KAYODE 45

55 OBAFEMI AWOLOWO UNIVERSITY TEACHING HOSPITAL (OAUTH) ILE-IFE CANCER REGISTRY The OAUTH Cancer Registry is a HBCR and is based at the Department of Morbid Anatomy of Obafemi Awolowo University Teaching Hospital, Ile-Ife. Registry Staff The director of OAUTH Cancer Registry is Prof.Babatunde J. Olasode of the Department of Morbid Anatomy OAUTH. Mr. Olajide Hezekiah Bamigbetan is the cancer registrar and data entry clerk. Mr. Lawan Ismail Babatunde is the case abstractor. Office Facilities The two office desks, four office chairs, two desktop computers, one printer, one filing cabinet, two internet modems and an external storage device. The registry does not have a scanner nor a photocopier. Communication Facilities The OAUTH Cancer Registry does not have an address nor a phone designated to the registry. Technical Facilities The registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software. Staff Training The staff of the registry attended NSCR training on Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The registry encounters bureaucracy in abstracting cancer cases from the OAUTH Records Department. Funding The OAUTH Cancer Registry is poorly funded. The hospital management does not have budgetary allocation for the registry. 46

56 Challenges The challenges of the registry are:. Inadequate staffing. 2. Inadequate funding. 3. Lack of cooperation from the OAUTH Medical Records Department. Recommendations The following recommendations are proposed.. The hospital management should post more staff to the registry. 2. There is need for the hospital management to increase funding to the registry and ensure that the Medical Records Department releases information on diagnosed cancer cases to the registry. 3. The hospital management should provide the registry office equipment including dedicated phone, scanner and photocopier. PHOTOGRAPH SHOWING OAUTH CANCER REGISTRY STAFF WITH FMOH VISITING TEAM FROM [R] [L] :MR.SAMUEL ISMAIL BABATUNDE [REGISTRAR] MR.ISAAC BRANTLY[FMOH], DR.UCHE NWOKU [OAUTH], MS ALICE GYANG [NCCP,FMOH], AND MR. OLAJIDE BAMGBETAN 47

57 JOS UNIVERSITY TEACHING HOSPITAL (JUTH) CANCER REGISTRY The JUTH Cancer Registry is a HBCR established in 996. The registry is domiciled at the Histopathology Department of JUTH. The registry collects cancer data from Jos North and Jos South Local Government s areas of Plateau State. Staffing The director of JUTH Cancer Registry is Dr. O.A Silas of the Department of Pathology, JUTH. Mr. James J Goyit is the cancer registrar. Mrs. Nandi Nyango and Mrs. Ruth Joshua are case abstractors. Mrs. Atsi Ishaya Ashom is the data entry clerk of the registry. Office Facilities The registry has two office desks, three office chairs, one desktop computer, two laptop computers, one office printer, two filing cabinets, one small size refrigerator, a medium size stabilizer, and a split air conditioner. The registry does not have a scanner, photocopier, internet facilities and external storage device. Communication Facilities The JUTH Cancer Registry has no address and phone. Technical Facilities The registry has a hard copy of the thedition of the ICD coding book and the CanReg4 software. 48

58 Staff Training The staff of the registry have benefitted from cancer registration training on Cancer Registration, Epidemiology and Use of CanReg4 Training, in April and December 29; Quality Control in Cancer Registries, in February 2; Advanced Course on Cancer Registration Methods, in November 22; and the FMoH Training on Cancer Registration Principles, in November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of JUTH and the JUTH Cancer Registry is not cordial. Funding The registry is funded by the hospital management; however, this funding is irregular. Challenges Challenges of the JUTHCancer Registry are: Inadequate funding. Small office space. Lack of cooperation from the Hospital Records Department. Lack of scanner, photocopier, internet facilities and external storage device. Recommendations The following actions are recommended for the registry. Regular funds and spacious office should be provided for the registry. 2. The hospital management should facilitate working synergy between the Hospital Records Department and the cancer registry. 3. The registry should be provided office equipment such as phone, external data storage device, internet facilities, scanner and photocopier. 49

59 PHOTOGRAPH SHOWING JUTH CANCER REGISTRY STAFF WITH VISITING FMOH TEAM MEMBER FROM [L] [R] : [ STANDING] MRS. NYANGOL, MR.ISHAYA, AND MRS. GWONSON [SITTING] DR. OLUGBENGA SILAS, DR. OKPIKPI, [FMOH] AND MR. GOYIT 5

60 LAGOS STATE UNIVERSITY TEACHING HOSPITAL (LASUTH) CANCER REGISTRY The LASUTH Cancer Registry is a HBCR established in 2. The registry is located within the Oncology Department, LASUTH Lagos. Registry Staff The registry director is Dr. Popoola. Mr. Ogunleke Reuben is the lone staff who serves as cancer registrar, case abstractor and data entry clerk. Office Facilities The registry has one computer, one office desk and one office chair. Communication Facilities The registry does not have a phone nor a dedic ated address. Technical Facilities The Registry has a hard copy of the 3 rd edition ICD-O-3 coding book as well as the CanReg4 software for data management. Staff Training The registry-staff has benefitted from several trainings by NSCR on cancers registration methods including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship Hospital Record Department The relationship between the Hospital Records Department and the staff of the cancer registry is cordial. Funding The registry is poorly funded by the hospital management. There is no budgetary allocation to the registry by the hospital management. Challenges The challenges of LASUTH Cancer Registry are:. Inadequate staffing. 2. Inadequate funding. 3. Lack of office equipment such as phone, desks, filing cabinet, external storage devices, air conditioner and internet facilities. 5

61 Recommendations The following actions are recommended for the registry.. More staff should be posted to the registry. 2. The hospital management should adequately fund the registry and provide other logistics that would improve the activities of the registry. 3. The registry should be provided office equipment such as phone, filing cabinet, photocopier, scanner, tables, chairs, air conditioning, and external storage devices. PHOTOGRAPH SHOWING EQUIPMENT IN USE AT LASUTH CANCER REGISTRY 52

62 LAGOS UNIVERSITY TEACHING HOSPITAL (LUTH) CANCER REGISTRY The LUTH Cancer Registry is a HBCR located within the Department of Radiology LUTH, Lagos. Staffing The director of LUTH Cancer Registry is Prof. A.A.F Banjo of the Department of Radiology, LUTH. Mrs Akerele I.I and Mrs. M.A Lawal serve as cancer registrar and case abstractor respectively. Mrs Abisola Oyewole and Mrs. Olusope Ogunye are the data entry clerks. Mrs. Olusope Ogunye serves as case abstractor. Office Facilities The registry has 3 office desks, one filing cabinet, one non-functional desktop computer, one external storage device and air conditioner. The registry does not have office printer, photocopier and scanner. Communication Facilities The LUTH cancer Registry has no address and phone assigned to the registry. Technical Facilities The registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software. At the time of this report the desktop computer of the registry was faulty. Staff Training The staff of the registry have benefitted from NSCR training on cancer registration including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; 53

63 Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of LUTH and the LUTH Cancer Registry is cordial. Funding The LUTH Cancer Registry is funded by the hospital management, but the funding is irregular. Challenges The challenges of the registry are:. Inadequate funding 2. Small office space. 3. Lack of office printer, photocopier and scanner. Recommendations The following actions are recommended for the registry.. The management LUTH should regularly fund and provide a spacious office space for the registry. 2. The registry should be provided office equipment such as office printer, photocopier and scanner. 54

64 PHOTOGRAPH SHOWING LUTH CANCER REGISTRY STAFF WITH VISITING FMOH TEAM AND EQUIPMENT IN USE AT THE REGISTRY 56

65 UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL (UMTH) CANCER REGISTRY The UMTH Cancer Registry was established in 23 as a HBCR. The registry is domiciled at the Department of Pathology, UMTH, Maiduguri. Staffing The director of UMTH cancer registry is Prof. Haruna A. Ngada. Mr. Ibrahim Mohammed is the lone staff at the registry. He serves as the cancer registrar, data abstractor and data entry clerk. Office Facilities The registry has one office desk, five office chairs, two desktop computers, one filling cabinet and two printers. It does not have internet facilities, an external storage device and a photocopier. Communication Facilities The registry does not have a dedicated phone and address. 57

66 Technical Facilities The registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and the CanReg4 software. Staff Training The registry staff and Prof. Ngada attended the FMoH Training on Cancer Registration Principles, November 26. The previously trained officer with the registry who left the institution due to insecurity reasons during the peak of the insurgency in the North-East participated in NSCR training in 29 and 2. Relationship with Hospital Records Department The relationship between the Hospital Records Department of UMTH and the UMTH Cancer Registry is cordial. Funding The UMTH Cancer Registry funded by the management of UMTH. The registry at a time received funding from the International Agency for Research on Cancer (IARC). Challenges The challenges of the registry are: Lack of registry staff. Inadequate funding Small office space. Lack of an external storage device, phone, photocopier and internet facilities. Insecurity and insurgency in the region. Recommendations The following actions are recommended for UMTH cancer registry.. The hospital management should post staff to the registry and provide the registry with a spacious office. 2. The hospital management should provide regular funds to the registry. 3. The registry should be provided office equipment like external storage device, phone, photocopier and internet facilities 4. The government should intervene on the insecurity challenge of the North-East region. 58

67 PHOTGRAPH SHOWING UMTH CANCER REGISTRY DIRECTOR AND STAFF TOGETHER WITH VISITING FMOH TEAM MEMBER FROM L R : UMTH CANCER REGISTRAR, DR. EMEKA OFODIRE [FMOH] AND PROF. HARUNA NGADDA 59

68 NNAMDI AZIKIWE UNIVERSITY TEACHING HOSPITAL (NAUTH) CANCER REGISTRY The NAUTH Cancer Registry was established in 29 as a HBCR. The registry recently started collecting population based data. The address of the registry is the Pathology Department, NAUTH, Nnewi. The registry covers Nnewi North, Nnewi South, Agwata, Oloka North, Oloka South, Onitsha North, Onitsha South, Ihiala, Idemili North, Idemili South, and Ekwusipo L.G.A, with a population of 2,9, people according to 26 National census. Registry Staff Prof. A.M.E Nwofor is the director of the cancer registry. The cancer registrar is Mrs. Gloria C. Oyeoka, and the data entry clerk is Mrs. Afiniki Okeke F. The two staff interchangeably serve as case abstractors. Office Facilities The registry has one printer, one computer, one filling cabinet, two office desks, four office chairs. Communication Facilities in NCR The registry does not have dedicated phone and address. Technical Facilities The registry has the hard copy of the 3rd and th edition of the ICD-O-3 coding book as well as the CanReg4 software. Staff Training The staff of the registry have attended several NSCR organized trainings including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with the Hospital Record Department The relationship between the Hospital Records Department and the registry is cordial. Case Abstraction outside NAUTH Data abstraction is done once a week. Funding The NAUTH Cancer Registry receives funding from the hospital management, but funding is insufficient and irregular. 6

69 Challenges The challenges of UNTH cancer registry are:. Inadequate funding. 2. Inadequate staffing. 3. Lack of transportation to data sources outside UNTH. Recommendations The following actions are recommended for UNTH cancer registry.. There is need to increase monthly funding and other logistics that will enhance the functions of the cancer registry. 2. Hospital management should post more staff to the registry. 3. The registry should be provided with transport facilities. 4. The hospital management should provide office equipment like photocopier, scanner, and external storage devices for the registry. PHOTOGRAPH SHOWING NNEWI CANCER REGISTRY STAFF WITH VISITING FMOH TEAM 6

70 NATIONAL OBSTETRICS AND FISTULA CENTRE (NOFIC) CANCER REGISTRY The NOFIC cancer registry is a HBCR established in 25. The address of the registry is the Oncology Department, NOFIC, Abakaliki. Registry Staff The director of the registry is Prof. Sunday Adeoye. Ms. Nwige Chinasa Success is the lone staff at the registry. She serves as the cancer registrar, case abstractor and data entry clerk. Office Facilities The registry has one Computer, one office desk and one office chair. Communication Facilities There is no phone or address dedicated to the registry. Technical Facilities The registry has the CanReg4 software, but does not have the ICD-O coding book. Staff Training The staff of the Cancer Registry has benefitted from training on cancer registration methods. The registry staff attended the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Record Department The relationship between the Hospital Records Department and the staff of the cancer registry is cordial. Funding The registry receives funding from the hospital management. Challenges The challenges of NOFIC cancer registry are:. Inadequate staffing. 2. Lack of office equipment such as printer, filing cabinet, external storage devices and internet facilities. 3. Unavailability of the ICD-O coding book. 62

71 Recommendations The following actions are recommended for the registry.. There is need post one additional staff to work in the registry. 2. The registry should be provided the ICD-O-3 coding book. 3. The hospital management should provide office equipment such filing cabinet, photocopier, scanner, internet facilities and external storage devices for the registry. 63

72 USMAN DAN FODIO UNIVERSITY TEACHING HOSPITAL (UDUTH )CANCER REGISTRY The UDUTH Cancer Registry was established as a PBCR in 24. The registry is domiciled in the Histopathology Department, UDUTH, Sokoto. The registry covers Sokoto North, Sokoto South and Wamakko LGA with an estimated population of 69,944 people according to the 26 National census. Staffing The director of the registry is Professor Kufre Iseh. Mr Tanko Rambo is the lone staff at the registry. He serves as the cancer registrar, case abstractor, data entry clerk and secretariat staff. Office Facilities The only office equipment at the UDUTH Cancer Registry is a laptop. The registry does not have a dedicated office space, desk, chairs, filling cabinet, printer, internet facilities, external storage device, scanner and photocopier. 64

73 Communication Facilities The UDUTH Cancer Registry does not have a dedicated phone and address. Technical Facilities The registry has a hard copy of the thedition of the ICD-O coding book and the CanReg4 software installed in the laptop of the registry. Staff Training The registry staff benefitted from NSCR onsite training on Cancer Registration Methods in April 24. Relationship with Hospital Records Department The relationship between the Hospital Records Department of UDUTH and the UDUTH Cancer Registry is cordial. Funding The UDUTH Cancer Registry is poorly funded by the hospital management. Case Abstraction outside UDUTH Abstraction of cases outside the hospital is done once every three months due to lack of fund and transportation to data sources. Challenges The challenges of the registry are: Inadequate staffing. Inadequate funding. Lack of designated office space. The activities of the UDUTH Cancer Registry have been trivialised to informality Lack of office equipment including filling cabinet, photocopier, scanner, tables, chairs, air conditioner, phone, internet facilities, and external storage devices. 6. Absence of a structured cancer registration advisory committee. 7. Lack of transportation facilities to data sources outside UDUTH. Recommendations The following actions are recommended for UDUTH Cancer Registry.. There is need to allocate monthly funding and provide logistics that will enhance the functions of the registry. 2. The hospital management should post more staff to the registry and provide a dedicated office for the registry. 65

74 3. The registry should be provided office equipment like office equipment including filling cabinet, photocopier, scanner, tables, chairs, air conditioner, phone, internet facilities, and external storage devices. 4. The UDUTH Cancer Registry Advisory Committee should be well constituted and strengthened. 5. The hospital management should provide the registry with transport facilities. 6. The registry staff will benefit from more capacity building and training. PHOTOGRAPH SHOWING FMOH TEAM WITH UDUTH CANCER REGISTRY STAFF AND SOKOTO STATE MINISTRY OF HEALTH PERSONNEL FROM L -R : DR. UMAR MOHAMMED, MOHAMMED TANKO [ UDUTH CANCER REGISTRAR], DR.M. SHUAIBU, PROF. K.R. ISEH [REGISTRY DIRECTOR], DR. R. HASSAN [FMOH] AND DR. S. M. SAHABI. 66

75 UNIVERSITY OF ILORIN TEACHING HOSPITAL (UITH) CANCER REGISTRY The UITH Cancer Registry is a HBCR established in 99. The registry is situated within the Pathology Department, UITH Ilorin. Registry Staff Prof. Abiodun. A is the director of the registry. Mr. Michael Olurinde is the lone staff at the UITH Cancer Registry following Mr. A. Ayilara s recent retirement. Mr. Olurinde serves as the cancer registrar, case abstractor and data entry clerk. Office Facilities The registry has one faulty computer, one faulty printer, filling cabinet, office desk and office chairs. Communication Facilities The registry does not have a dedicated office phone and address. 67

76 Technical Facilities The Registry has a hard copy of the 3rd edition of the ICD-O-3 coding book and uses the CanReg4 software for data management. Staff Training The new staff of the cancer registry attended the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Record Department The relationship between the Hospital Records Department and the staff of the UITH Cancer Registry is cordial. Funding The registry is funded by the hospital managements, but funding is irregular and insufficient. Challenges The challenges of UITH Cancer Registry are:. Inadequate staffing. 2. Inadequate funding. 3. Faulty computer and lack of office equipment such as printer, internet facilities and external storage devices. Recommendations The following actions are recommended for the registry.. The hospital management should post an additional staff to the registry. 2. The hospital management should increase funding to the registry. 3. The registry should repair or provide the registry with a new computer and other office equipment such as printer, internet facilities and external storage devices. 4. The registry staff will benefit from more capacity building and training. 68

77 PHOTOGRAPH SHOWING VISITING FMOH TEAM WITH UITH CANCER REGISTRY STAFF FROM L-R : MRS. UZOMA OCHOR[FMOH] PROF.ABIODUN A., MRS. LUCY ALEMO, AND MICHEAL OLATUNDE. 69

78 UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL (UPTH) CANCER REGISTRY The UPTH Cancer Registry was established in 29 as a HBCR. The address of the registry is the Department of Pathology, UPTH, Port-Harcourt. The registry started collecting population based data in 24 and covers Odigbo, Obiookpor, Port-Harcourt city, Eleme, khana, Tai, Gokana, and Okrika LGA with a population of 2,,. Registry Staff Dr. Obiorah Christopher is the cancer registry director. Miss. Martha Akpanumol is the lone staff and she serves as the cancer registrar, case abstractor, and data entry clerk Office Facilities The registry has one computer, one printer, one file cabinet, one office desk, three office chairs. 7

79 Communication Facilities The registry has a dedicated phone ( ), but it has no dedicated address. Technical Facilities The registry has CanReg4 software, but does not have the ICD-O coding book. Staff Training The registry staff have benefitted from NSCR trainings including the Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; Advanced Course on Cancer Registration Methods, November 22; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department and the staff of the cancer registry is cordial. Case Abstraction outside UPTH Visit to data sources outside UPTH is done once in a week. Funding The registry is funded by the hospital management but, funding is insufficient and irregular. Challenges The challenges of UPTH Cancer Registry are:. Inadequate support and funding from the hospital management. 2. Inadequate staffing. 3. Lack of ICD-O coding book and office equipment such as filing cabinet, photocopier, scanner, external storage devices and internet facilities. 4. Lack of regular transportation to data sources outside UPTH. Recommendations The following actions are recommended for the registry.. There is need for the hospital management to increase and provide logistics that will enhance the functions of the registry. 2. The hospital management should post more staff to the registry. 7

80 3. The registry should be provided the ICD-O-3 coding book and other office equipment such as filing cabinet, photocopier, scanner, external storage devices and internet facilities. 4. The registry should be provided with transport facilities. PHOTOGRAPH SHOWING UPTH CANCER REGISTRY STAF WITH VISITING FMOH TEAM MEMBER 72

81 UNIVERSITY OF UYO TEACHING HOSPITAL (UUTH) CANCER REGISTRY The UUTH Cancer Registry is a HBCR established in 29. The registry recently started collecting population based data covering Uyo, Itu and Uruan LGA with a population of,, people. Staffing The director of the registry is Dr. Uwemdedimbuk Ekanem of the Department of Pathology, UUTH. Mrs. Blessing Ntuk and Mrs. NseabasiIme interchangeably serve as the registrars, data entry clerk, case abstractors and secretariat staff. Office Facilities 73

82 The registry has one office desk, three office chairs, one desktop computer and one office printer. The registry does not have filing cabinets, internet facilities, an ext ernal storage device, scanner and photocopier. Communication Facilities The registry does not have a dedicated address and phone. Technical Facilities The UUTH Cancer Registry has the CanReg5 software, but does not have the ICD -O coding book. Staff Training The registry staff benefitted from NSCR training including Cancer Registration, Epidemiology and Use of CanReg4 Training, April and December 29; Quality Control in Cancer Registries, February 2; and the FMoH Training on Cancer Registration Principles, November 26. Relationship with Hospital Records Department The relationship between the Hospital Records Department of the UUTH and the registry is cordial. Funding The registry receives funding from the UUTH management, but funding is insufficient. Challenges The challenges of the registry are:. Inadequate staffing. 2. Inadequate funding. 3. Lack of transport facilities to data sources outside UUTH. Recommendations The following actions are recommended for the registry.. There is need to increase funding to the registry. 2. The hospital management should post more staff to the registry. 3. The registry should be provided with transport facilities. The registry should be provided ICD-O coding book and office equipment such as filing cabinet, internet facilities, external storage device, scanner and photocopier. 74

83 PICTURE SHOWING MS. ALICE GYANG [FMOH] AND MEMEBERS OF STAFF OF UUTH CANCER REGISTRY 75